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Prescribing for the Long-term Mentally Ill

A Study of Treatment Practices

Published online by Cambridge University Press:  02 January 2018

F. Holloway
F. Holloway*
Affiliation:
Academic Department of Psychological Medicine, Kings College Hospital, Bessemer Road, London SE5 9RS
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Abstract

A survey of the drug treatment of long-term mentally ill users of a district psychiatric service is described. The appropriateness of prescriptions was assessed against standard criteria after a detailed clinical review of each patient. Overprescribing, particularly of sedative/hypnotic and of anticholinergic and antipsychotic drugs, was common. Junior psychiatrists and general practitioners are in need of improved training in the management of chronic psychiatric illness: a review of treatment practices might be an appropriate medium for this training.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 152 , Issue 4 , April 1988 , pp. 511 - 515
Copyright
Copyright © Royal College of Psychiatrists, 1988 

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References

Bridges, P. K. (1983) Point of view “… and a small dose of antidepressant might help”. British Journal of Psychiatry 142, 626–628.Google Scholar
Clark, A. F. & Holden, N. L. (1987) The persistence of prescribing habits: a survey and follow-up of prescribing for chronic hospital inpatients. British Journal of Psychiatry, 150, 88–91.CrossRefGoogle Scholar
Crawshaw, J. A. & Mullen, P. E. (1984) A study of benzhexol abuse. British Journal of Psychiatry, 145, 300–303.CrossRefGoogle ScholarPubMed
Diamond, H., Tislow, R., Snyder, T. & Rickels, K. (1976) Peer review of prescribing patterns in a CMHC. American Journal of Psychiatry, 133, 697–699.Google Scholar
Donaldson, S. R., Gelenberg, A. L. & Baldessarini, R. J. (1983) The pharmacologic treatment of schizophrenia; a progress report. Schizophrenia Bulletin, 9, 504–527.Google Scholar
Edwards, S. & Kumar, V. (1984) A survey of prescribing of psychotropic drugs in a Birmingham psychiatric hospital. British Journal of Psychiatry, 145, 502–507.Google Scholar
James, D. H. (1983) Monitoring drugs in hospitals for the mentally handicapped. British Journal of Psychiatry, 142, 163–165.Google Scholar
Kennedy, P. (1980) The use of psychiatric drugs for decades. British Journal of Psychiatry, 137, 387–389.CrossRefGoogle ScholarPubMed
Kolakowska, T., Williams, A. O., Ardern, M., Reveley, M. A., Jambor, K., Gelder, M. G. & Mandelbrote, B. M. (1985) Schizophrenia with good and poor outcome: I. Early clinical features, response to neuroleptics and signs of organic dysfunction. British Journal of Psychiatry, 146, 229–239.CrossRefGoogle ScholarPubMed
Manchanda, R. & Hirsch, S. R. (1986) Low dosage maintainence medication for schizophrenia. British Medical Journal, 293, 515–516.CrossRefGoogle Scholar
McClelland, H. A., Blessed, G., Ghate, S., Ali, N. & Clark, P. A. (1974) The abrupt withdrawal of anti-parkinsonian drugs in schizophrenic patients. British Journal of Psychiatry, 124, 151–159.CrossRefGoogle Scholar
McCreadie, R. G., Robinson, A. D. & Wilson, A. O. A. (1984) The Scottish survey of chronic day patients. British Journal of Psychiatry, 145, 626–630.Google Scholar
Michel, K. & Kolakowska, T. (1981) A survey of prescribing psychotropic drugs in two psychiatric hospitals. British Journal of Psychiatry, 138, 217–221.Google Scholar
Morgan, R. & Gopalaswamy, A. K. (1984) Psychotropic drugs: another survey of prescribing patterns. British Journal of Psychiatry, 144, 298–302.CrossRefGoogle ScholarPubMed
Muijen, M. & Silverstone, T. (1987) A comparative hospital survey of psychotropic drug prescribing. British Journal of Psychiatry, 150, 501–504.CrossRefGoogle ScholarPubMed
Prien, R. F., Balter, M. B. & Caffey, E. M. (1978) Hospital surveys of prescribing practices with psychotherapeutic drugs. Archives of General Psychiatry, 35, 1271–1275.Google Scholar
Pryce, I. G., Baughan, C. A., Jenkins, T. D. O. & Venkatesan, B. (1983) A study of long-attending psychiatric day patients and the services provided for them. Psychological Medicine, 13, 875–884.CrossRefGoogle Scholar
Pullen, G. P., Best, N. R. & McGiure, J. (1984) Anticholinergic drug abuse: a common problem? British Medical Journal, 289, 612–614.Google Scholar
Quitkin, F. M. (1985) The importance of dosage in prescribing antidepressants. British Journal of Psychiatry, 147, 593–597.CrossRefGoogle ScholarPubMed
Simpson, G. M., Lee, J. H., Zoubok, B. & Gardos, G. (1979) A rating scale for tardive dyskinesia. Psychopharmacology, 64, 171–179.Google Scholar
Wing, J. K., Cooper, J. E. & Sartorius, N. (1974) The Measurement and Classification of Psychiatric Symptoms. London: Cambridge University Press.Google Scholar
Wing, J. K. (ed.) (1982) Long term community care: experience in a London Borough. Psychological Medicine (suppl. 2).Google Scholar
Wojcik, J. D., Gelenberg, A. J., La Brie, R. A. & Barg, M. (1980) Prevalence of tardive dyskinesia in an outpatient population. Comprehensive Psychiatry, 21, 379–379.Google Scholar
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